MEDICARE: LISA A HILDENBRAND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD060352L	PA

General Provider Information

NPI Number	:	1821071358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA A HILDENBRAND MD

Provider Business Mailing Address
First Line	:	8775 NORWIN AVE STE D
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2718
Country	:	US
Telephone Number	:	724-863-2660
Fax Number	:	724-863-2668

Provider Business Practice Location Address
First Line	:	8775 NORWIN AVE STE D
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2718
Country	:	US
Telephone Number	:	724-863-2660
Fax Number	:	724-863-2668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	09/10/2025

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